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<title>消防器材申请表</title>
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        	<h1 style="margin:0;">灭火器材配置申报单</h1>
         
             <table class="check_tab3">
           
           <tbody>
           <tr>
            	<td  style="height:40px;width:80px;">单位</td>
                <td style="width:1100px;" colspan="11"></td>
              
            </tr>
            <tr>
            	<td  style="height:100px;vertical-align:middle;">配置申请</td>
                <td  colspan="11"></td>
                
            </tr>
        
            <tr>
            	<td style="width:80px" rowspan="4" style="vertical-align:middle;">配置类型</td>
                <td style="width:80px" align="left" >干粉（kg）</td>
                <td style="width:60px" ></td>
            	<td style="width:80px">数量（具）</td>
                <td style="width:60px"  align="left"></td>
                <td style="width:80px" >配置地点</td>
                <td style="width:120px"  align="left"></td> 
                <td style="width:70px">配置时间</td>
                <td style="width:120px" style="text-align:right;"><span></span>年<span></span>月<span></span>日</td>      
                <td style="width:70px">维修时间</td>
                <td style="width:120px"  style="text-align:right;"><span></span>年<span></span>月<span></span>日</td>    
            </tr>
           
            <tr>
            	
                <td width="" align="left">CO₂（kg）</td>
                <td width="" ></td>
            	<td width="">数量（具）</td>
                <td width=""  align="left"></td>
                <td width="" >配置地点</td>
                <td width=""  align="left"></td> 
                <td width="">配置时间</td>
                <td width="" style="text-align:right;"><span></span>年<span></span>月<span></span>日</td>      
                <td width="">维修时间</td>
                <td width=""  style="text-align:right;"><span></span>年<span></span>月<span></span>日</td>    
            </tr>
            <tr>
            	
                <td width="" align="left">灭火毯</td>
                <td width="" ></td>
            	<td width="">数量（条）</td>
                <td width=""  align="left"></td>
                <td width="" >配置地点</td>
                <td width=""  align="left"></td> 
                <td width="">配置时间</td>
                <td width="" style="text-align:right;"><span></span>年<span></span>月<span></span>日</td>      
                <td width=""></td>
                <td width=""  style="text-align:right;"></td>    
            </tr>
             <tr>
            	
                <td width="" align="left">灭火器箱</td>
                <td width="" ></td>
            	<td width="">数量（个）</td>
                <td width=""  align="left"></td>
                <td width="" >配置地点</td>
                <td width=""  align="left"></td> 
                <td width="">配置时间</td>
                <td width="" style="text-align:right;"><span></span>年<span></span>月<span></span>日</td>      
                <td width=""></td>
                <td width=""  style="text-align:right;"></td>    
            </tr>
            
            <tr>
                <td style="width:80px;border-bottom:none;" align="left">管理</td>
                <td style="width:10px;border-bottom:none;" ></td>
            	<td width="">联系电话</td>
                <td width=""  align="left" colspan="2"></td>
                <td width="" style="border-bottom:none;">申报单位</td>
                <td width=""  align="left" colspan="2" style="border-bottom:none;"></td> 
                <td width="" style="border-bottom:none;">申报单位</td>
                <td width="" style="text-align:right;" colspan="2" style="border-bottom:none;"></td>      
            </tr>
            
            <tr>
            	<td style="width:80px;border-top:none;" align="left" >（签字）</td>
                <td style="border-top:none;"></td>
            	<td width="">E-mail</td>
                <td width=""  align="left" colspan="2"></td>
                <td width="" style="border-top:none;">负责人签字</td>
                <td width=""  align="left" colspan="2"style="border-top:none;"></td> 
                <td width="" style="border-top:none;">公章</td>
                <td width="" style="text-align:right;border-top:none;" colspan="2"><span></span>年<span></span>月<span></span>日</td> 
            </tr>
            
            <tr>
            	<td width="" align="left"  style="height:100px;">保卫处<br/>审批</td>
                <td width="" colspan="11" style="vertical-align:bottom;padding-bottom:10px;padding-left:20px;text-align:left;">签字: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;<span></span>年<span></span>月<span></span>日</td>
            </tr>
            <tr>
            	<td width="" align="left" >领取人</td>
                <td width="" colspan="11"><span></span>年<span></span>月<span></span>日</td>
            </tr>
            
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